Ua ʻike anei ʻoe i kahi hoaaloha a ʻohana paha e nalowale ana kahi lālā ma hope o kahi ulia a i ʻole ka hahau ʻana? Ke hana ʻia kēlā, lilo kēlā kanaka i mea kōkua ʻole a hiki ʻole ke hana i kā lākou mau hana o kēlā me kēia lā. No laila i kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūikawā e hiki ke "hoʻāla" i nā ʻiʻo i lilo i mea hana ʻole ma muli o nā hōʻailona mai ka lolo ʻaʻole i hiki pono i nā ʻiʻo.
I ka ʻōlelo maʻalahi, he aha ka FES?
ʻO ka inoa piha o FES ʻo ia ka Functional Electrical Stimulation . I ka ʻōlelo maʻalahi, pili ia i ka hoʻouna ʻana i kahi au uila liʻiliʻi loa i kāohi ʻia i kou mau aʻalolo a me nā ʻiʻo. E like me ka hōʻailona mai ka lolo mai, ʻūlū ka ʻiʻo ke loaʻa iā ia kēia hōʻailona uila. Kōkua kēia lāʻau lapaʻau i ka hoʻoneʻe hou ʻana i nā ʻiʻo a hoʻihoʻi i kā lākou hana.
Manaʻo ka poʻe he nui he mea ʻeha kēia no ka mea pili ia i ka uila. ʻO ka ʻoiaʻiʻo, ʻaʻole kēia he lāʻau ʻeha. Eia nō naʻe, hiki iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole. Hiki ke manaʻo ʻia he ʻano ʻūlū, a i ʻole e like me nā pine a me nā nila. I kekahi manawa hiki ke manaʻo ʻia he ʻano wela iki. E hōʻoia kāu kauka a physiotherapist paha ua ma kahi pae ʻoluʻolu ka ikaika o kēia au uila nou.
He aha nā pono o ka FES therapy?
Ua like kēia lāʻau lapaʻau me ka hāʻawi ʻana i nā ʻiʻo hiki ʻole ke neʻe iā lākou iho i ke kōkua a me ka hoʻoikaika kino mai waho. E noʻonoʻo, i ka wā hiki ʻole iā ʻoe ke hele a hāpai paha i nā mea kaumaha ma muli o kekahi kīnā, nāwaliwali mālie nā ʻiʻo i pili a me ka atrophy. Hiki i ka lāʻau FES ke hoʻoikaika hou i kēlā mau ʻiʻo.
E nānā kākou mai ka papa ma lalo nei i nā pono nui o kēia lāʻau lapaʻau.
| Ka pono | He wehewehe maʻalahi |
|---|---|
| Hoʻihoʻi i ka neʻe ʻana o nā ʻiʻo | Kōkua ia i ka hoʻihoʻi ʻana i ka neʻe ʻana o kahi lālā, e like me ka lima a i ʻole ka wāwae kīnā. |
| Ka kaohi ʻana i ka mimi a me ka fecal | Hoʻoulu ia i nā ʻiʻo o ka ʻōpū mimi a me ka rectum, e kōkua ana iā lākou e loaʻa hou ka mana. |
| E maʻalahi ai ka hanu ʻana | Ma ka hoʻoulu ʻana i ka diaphragm, ka ʻiʻo nui ma ka umauma, hiki ke hoʻemi ʻia ka hilinaʻi ʻana i kahi ventilator. |
| Ke pale ʻana i nā ʻeha moe (nā ʻeha kaomi) | Hoʻoulu ia i nā mākala ma ka ʻaoʻao o nā puʻupuʻu o nā maʻi e noho mau ana ma ke kūlana like, e pale ana i ke kūkulu ʻia ʻana o nā ʻeha moe. |
| Ka hoʻomaikaʻi ʻana i ka hana moekolohe | Kōkua ia i ka hoʻoikaika ʻana a me ka ejaculation i nā kāne. |
| Hoʻemi ʻeha | I kekahi mau hihia, hiki ke hoʻomaha ʻia ka ʻeha ma ke ālai ʻana i nā hōʻailona ʻeha mai ka hiki ʻana i ka lolo. |
| E maʻalahi ai ke ale ʻana | Hoʻoulu ia i nā mākala o ka puʻu a kōkua i ka hoʻoponopono ʻana i ka pilikia o ka ale ʻana i ka meaʻai a me nā wai. |
He aha nā kūlana e hoʻohana pinepine ʻia ai kēia lāʻau lapaʻau?
He mea pono loa ka FES therapy no ka nāwaliwali o nā ʻiʻo i hoʻokumu ʻia e ka hōʻino ʻana i ka ʻōnaehana nerve waena, ʻo ia hoʻi, ka lolo a i ʻole ke kaula spinal.
Eia kekahi o nā hoʻohana nui o kēia lāʻau lapaʻau:
- ʻEha o ke kaula iwi kuamoʻo
- Hahau
- Hāʻule ka wāwae i hoʻokumu ʻia e ka sclerosis maha
- lolo lolo
- ʻEha lolo traumatic (TBI)
- Ka nāwaliwali o nā ʻiʻo ma hope o ke ʻoki ʻana o ka lolo a i ʻole ke kaula spinal
E noʻonoʻo ma hope o ka hahau ʻana, ua ālai ʻia ke ala o nā hōʻailona mai ka lolo a i ka lima. ʻOiai ua maikaʻi nā ʻiʻo o ka lima, ua lolo ka lima no ka mea ʻaʻohe kauoha e hana. ʻO ka hana a FES, ʻo ia ke kāpae i kēlā ala i ālai ʻia a hoʻouna pololei i kahi hōʻailona i ka ʻiʻo e "hana."
No wai ka lāʻau lapaʻau FES e kūpono ai? No wai ka mea kūpono ʻole?
ʻAʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau. Na kāu kauka e hoʻoholo inā kūpono kēia iā ʻoe. Ma keʻano laulā, kūpono paha kēia lāʻau lapaʻau iā ʻoe.
I ka manawa kūpono paha kēia lāʻau lapaʻau iā ʻoe
- Inā he nāwaliwali kou mau ʻiʻo.
- Ka nalowale hapa a piha paha o ka hana ma kahi ʻāpana o ke kino (paralysis).
- Inā loaʻa iā ʻoe kahi maʻi e hoʻopilikia ai i ka ʻōnaehana nerve waena.
- Inā ua hoʻopilikia ʻia kou hiki ke neʻe e kahi ulia.
Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e hana kāu kauka i kahi hoʻāʻo liʻiliʻi e ʻike ai inā e pane kou kino iā ia. I kekahi manawa, inā ua hōʻino ʻia nā olonā aʻalolo ma waena o ka iwi kuamoʻo a me nā ʻiʻo, ʻaʻole paha e pane ke kino iā ia.
Nā hihia i kūpono ʻole ai kēia lāʻau lapaʻau
Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, hiki i kāu kauka ke kuhikuhi i kahi koho lapaʻau ʻē aʻe ma kahi o FES. E hōʻoia e kūkākūkā i kēia me kāu kauka.
| I ka manawa hea e pono ʻole ai ke hana ʻia ka FES therapy? |
|---|
| Inā loaʻa iā ʻoe kekahi mau mea uila i hoʻokomo ʻia (e like me ka pacemaker). |
| Inā loaʻa iā ʻoe ka maʻi kanesa. |
| Inā loaʻa iā ʻoe ka maʻi iwi (osteomyelitis). |
| Inā he moʻolelo kou o nā ʻōpū koko (Thrombosis) a i ʻole ke kahe koko nui (Hemorrhage). |
| Inā he maʻi ʻepilepsy kou. |
| Inā he nui kou spasticity muscle a i ʻole contractures. |
| Inā he osteoporosis kou. |
| Inā ʻoe e hāpai ana i kēia manawa. |
He aha nā ʻāpana o ka hāmeʻa FES?
He nui nā ʻano a me nā nui o nā mea FES, akā aia kekahi mau ʻāpana maʻamau i ka hapa nui o lākou.
- ʻĀpana hoʻoulu uila neuromuscular: ʻO kēia ka pahu liʻiliʻi e hana ana i nā hōʻailona uila.
- Nā uea: ʻO kēia nā uea e lawe ana i nā hōʻailona uila mai ka pahu mai. Hana kekahi mau mea hana hou me ka ʻole o nā uea, me ka hoʻohana ʻana i nā nalu lekiō.
- Nā Electrodes: Ua pili kekahi ʻaoʻao o ke kaula i kēia mau electrodes. ʻO kēia nā mea i pili pololei i ke kino a hoʻoulu i nā aʻalolo a i ʻole nā ʻiʻo.
Aia kekahi mau ʻano o nā electrodes:
1. Nā ʻelekole ʻili: Hiki ke hoʻopili ʻia kēia mau mea i ka ʻili e like me ka sticker. Hoʻohana pinepine ʻia kēia mau mea no ka mālama pōkole.
2. Nā ʻelekole percutaneous: Hoʻokomo ʻia kēia mau mea ma lalo o ka ʻili e ke kauka ma o kahi ʻoki liʻiliʻi.
3. Nā electrodes i hoʻokomo ʻia: No ka mālama ʻana i ka wā lōʻihi, ua hoʻokomo ʻia kēia mau mea i loko o ka ʻiʻo a i ʻole kokoke i kahi aʻalolo.
Na kāu hui lapaʻau e hoʻoholo i ka hāmeʻa kūpono iā ʻoe, nā ʻiʻo e pono e hoʻoulu ʻia, a me ka nui o ka uila e hāʻawi.
He aha nā pilikia a me nā pilikia o ka mālama ʻana iā FES?
E like me kekahi ʻano hana lapaʻau, hiki i ka FES ke loaʻa kekahi mau pilikia.
| ʻAno pilikia | Wehewehena |
|---|---|
| I ka wā e hoʻohana ai i nā electrodes i hoʻopili ʻia i ka ʻili (waho) | |
| Ka pilikia | ʻO ka maneo i ʻike ʻia i ka wā o ka mālama ʻana he mea ʻoluʻolu ʻole paha ia no kekahi poʻe. |
| Nā maʻi ʻili | Hiki ke ʻulaʻula a me ka maneʻo o ka ʻili ma kahi e hoʻopili ʻia ai nā electrodes. |
| Ka huki ʻana o nā ʻiʻo | Inā hoʻonui ʻia ka hoʻoulu ʻana, e luhi paha nā ʻiʻo. |
| I ka wā e hoʻohana ai i nā electrodes i hoʻokomo ʻia i ke ʻoki kino | |
| Nā maʻi | Aia kahi pilikia o ka maʻi ma kahi i hoʻokomo ʻia ai nā electrodes. |
| Nā hewa o nā lako | Hiki ke haki ka uea a i ʻole ka neʻe ʻana o ka electrode. |
| Nā hoʻokolohua MRI | Ma muli o ke kino i loaʻa nā ʻāpana metala, ʻaʻole hiki ke hana ʻia ke kiʻi MRI. |
Inā loaʻa iā ʻoe kekahi ʻehaʻeha hiki ʻole ke hoʻomanawanui, ʻeha, a i ʻole nā loli o ka ʻili i ka wā o kēia mālama ʻana, e hoʻomaopopo koke i kāu kauka . Mai hūnā.
He aha ka ʻokoʻa ma waena o TENS a me FES?
He nui ka poʻe e huikau e pili ana i nā lāʻau lapaʻau ʻelua, ʻo TENS a me FES. ʻOiai ʻelua e hoʻohana i ka hoʻoulu uila, lawelawe lākou i ʻelua mau kumu like ʻole.
- TENS (Transcutaneous Electrical Alerve Stimulation): Hoʻopili kēia i nā aʻalolo sensory . ʻO ka pahuhopu nui ka hōʻemi ʻana i ka ʻeha, ʻaʻole ka hoʻopaʻa ʻana i nā ʻiʻo.
- FES (Functional Electrical Stimulation): Hoʻopili kēia i nā aʻalolo neʻe . ʻO ka pahuhopu nui ka hoʻoulu ʻana i nā ʻiʻo, hoʻoneʻe iā lākou, a hoʻoulu i ka hana.
I ka ʻōlelo maʻalahi, hiki iā ʻoe ke hoʻomanaʻo he ʻeha ʻo TENS a ʻo FES no ka neʻe ʻana .
Leka Lawe-Home
- ʻO ka FES kahi lāʻau lapaʻau e hoʻohana ana i nā hōʻailona uila liʻiliʻi e hoʻihoʻi i ka neʻe ʻana i nā ʻiʻo hana ʻole.
- He mea pono loa kēia no ka nāwaliwali i hoʻokumu ʻia e nā kūlana e like me ka hahau ʻana a me nā ʻeha o ke kaula kuamoʻo.
- ʻAʻole ʻeha kēia lāʻau lapaʻau, akā hiki paha iā ʻoe ke manaʻo i kekahi ʻoluʻolu ʻole, e like me ka mae ʻana.
- ʻAʻole kūpono kēia no nā poʻe me nā mea i hoʻokomo ʻia e like me nā pacemakers, nā wahine hāpai, a me kekahi mau maʻi ʻē aʻe.
- E kamaʻilio mau me kāu kauka e pili ana i ke kūpono o kēia lāʻau lapaʻau iā ʻoe a me nā nīnau āu e loaʻa ai.
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